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Hawaii rates for HCPCS 27258

Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $1,513.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,584.89 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $1,778.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $1,174.90 / $1,513.56